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Abnormal gush of blood with an IUD in place

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: Hi I’ve had a coil fitted for nearly 6 years and I’ve just lost a large amount of jelly like brown discharge. Is this normal Answer: The term coil is used outside the US to refer to a copper IUD, so I will answer the question assuming this is...

The withdrawal method before QuickStart of an IUD or implant

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: Dr. Zieman, I am an NP with 8 years of family planning experience in a title X clinic in Oklahoma. Managing Contraception has been very influential in my practice. Due to current politics in my state, I believe initiating contraception via the QuickStart...

How common is delayed menses after taking Plan B?

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “I recently saw a 26 yr old female whose LMP was 3/13/22, she had unprotected sex 3/27/22 and took Plan B 3/28/22, experienced spotting 4/4/22 and has not had a regular menses since 3/13/22. Pregnancy test done 5/16/22 and negative. What is the...

How long is the Copper IUD effective for? 10 or 12 years?

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “I have a patient that had a copper IUD placed and was advised that it was effective for 12 years. She looked at the Paragard website and of course it reiterates that the FDA has only approved Paragard for 10 years. She is my patient and is asking my...

Vaginal “smegma?”

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Is it normal for women to have “smegma” of sorts on their clitoris or the lips sometimes as a form of discharge? or does that mean yeast infection or unbalanced pH?” Answer: You made me laugh using the term “vaginal...

My vaginal discharge is “normal,” but bothers me.

by Managing Contraception | Jun 13, 2022 | Ask Dr. Z, Miscellaneous

Question: “Hi! I have a question about vaginal discharge. Almost every day I have discharge that is brownish. I have gotten it checked out in the past and doctors have said it is normal and that I just have more discharge than others. I am wondering if you had...
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Board-certified as an OB/GYN with a fellowship in contraceptive research and education, I aim to help people make informed decisions about their health.

I’ve co-authored sixteen editions of Managing Contraception* with over one million copies in circulation. I’m here to answer your questions about birth control.

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